PERSONAL INFORMATION

Note: advancis customers who do not wish to enter new information can simply provide their customer number. Our staff will complete your order form using the data (including PIN and password) provided during your previous order(s).

Last Name		First name
Title		Company
Address
City		State
ZIP		Country	Select your country Canada United States of America
Email		Web site
Phone		Fax
Customer number

SOFTWARE SELECTION

		ReadyWeb™		site	US $ 1,295
		ReadyLive™ Freeware license		unit(s)	US $ 1,695 per unit +
					US $ 0.10 per distributed ReadyLive application
		Freeware licenses are designed for organizations that intend to distribute their ReadyLive push application at no charge. The license fee consists of a one-time development fee of US$ 1,695 per unit and US$ 0.10 per distributed ReadyLive client application.
		ReadyLive™ Commercial license		unit(s)	US $ 1,895 per unit +
					US $ 0.50 per distributed ReadyLive application
		Commercial licenses are designed for organizations that intend to sell their ReadyLive push application. The license fee consists of a one-time development fee of US$ 1,895 per unit and US$ 0.50 per distributed ReadyLive client application.

Please note that volume discounts will be appear on your confirmation email. Sales Taxes of 8.25% will added to your order if you are located in Texas.

IDENTIFICATION

Please select a PIN and password to access restricted sections of the advancis.com web site. Choose 3 to 8 characters, using only A-Z, a-z, and 0-9. Write it down for your records. Note: current customers do not have to enter a new PIN or password.

PIN

Password

PAYMENT INFORMATION

Credit card

Please select the type of credit card you want to use Visa Mastercard Eurocard

	Credit card number
	Cardholder's name
	Expiration date
	Card verification number
	Issuing bank